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Fragmentation of ambulatory care among older adults: an exhaustive database study in an ageing city in Japan.

Makoto KanekoSatoru ShinodaSayuri ShimizuMakoto KurokiSachiko NakagamiTaiga ChibaAtsushi Goto
Published in: BMJ open (2022)
To our knowledge, this is the first study to demonstrate care fragmentation in Japan. Over 80% of the participants visited two or more medical facilities, and their mean FCI was 0.583. The FCI could be a basic indicator for assessing the quality of primary care.
Keyphrases
  • healthcare
  • primary care
  • palliative care
  • quality improvement
  • blood pressure
  • emergency department
  • pain management
  • affordable care act